Individual
MRS. CONNELL ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4 NEW WAY CT, COLUMBIA, SC 29223-4087
(803) 397-8059
Mailing address
4 NEW WAY CT, COLUMBIA, SC 29223-4087
(803) 397-8059
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5347
SC
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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